Wang T K, Tu H H
Department of Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan, Republic of China.
J Gastroenterol. 1998 Apr;33(2):201-5. doi: 10.1007/s005350050070.
Colorectal perforation is a serious complication of barium-enema examination, as the resultant contamination of the intraperitoneal or extraperitoneal space may result in a severe septic course. Between 1 October 1993 and 30 September 1996, four patients had colorectal injuries after barium-enema examinations at the Far Eastern Memorial Hospital, Taipei, Taiwan. Their mean age was 80 years and three of them died, despite the implementation of early and aggressive treatment. To examine the differences between this high crude mortality rate and reports of zero mortality, we retrospectively analyzed the data with the well established predictive surgical scoring system, the Physiological and Operative Severity Score for the enUmeration of Morbidity and mortality (POSSUM), to estimate the potential risk of death in these four patients.
结肠直肠穿孔是钡剂灌肠检查的一种严重并发症，因为由此导致的腹腔内或腹膜外间隙污染可能会引发严重的感染病程。1993年10月1日至1996年9月30日期间，台湾台北远东纪念医院有4例患者在钡剂灌肠检查后出现结肠直肠损伤。他们的平均年龄为80岁，尽管采取了早期积极治疗，但其中3人死亡。为了探究这一高粗死亡率与零死亡率报告之间的差异，我们使用成熟的预测性手术评分系统——生理和手术严重程度评分系统（POSSUM）对数据进行回顾性分析，以估计这4例患者的潜在死亡风险。
